Provider Demographics
NPI:1467036236
Name:SAN ROSES CARE HOSPICE INC
Entity Type:Organization
Organization Name:SAN ROSES CARE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUMASSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-349-2614
Mailing Address - Street 1:133 N ALTADENA DR STE 307
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-7340
Mailing Address - Country:US
Mailing Address - Phone:626-349-2614
Mailing Address - Fax:
Practice Address - Street 1:133 N ALTADENA DR STE 307
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-7340
Practice Address - Country:US
Practice Address - Phone:626-349-2614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based